Healthcare Provider Details

I. General information

NPI: 1285303560
Provider Name (Legal Business Name): MEGAN JO ZERFAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. MEGAN JO ERICKSON

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 GOLF COURSE RD
GRAND RAPIDS MN
55744-3479
US

IV. Provider business mailing address

400 E 3RD ST
DULUTH MN
55805-1951
US

V. Phone/Fax

Practice location:
  • Phone: 218-259-9652
  • Fax:
Mailing address:
  • Phone: 218-786-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14427
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: